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HomeMy WebLinkAboutPermit D06-315 - Fatigue Technology - RestroomsFATIGUE TECHNOLOGY 401 ANDOVER PK E D06 -315 Parcel No.: 0223400050 Address: 401 ANDOVER PK E TUKW Suite No: Tenant: Name: FATIGUE TECHNOLOGY INC. Address: 401 ANDOVER PK E , TUKWILA WA Contact Person: Name: JOHN BUND Address: 8225 NE 145 ST , BOTHELL WA 98011 Phone: 206 919 -5840 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206- 431 -3670 Fax: 206-431-3665 Web site: htto: //www.ci.tukwila.wa. Owner: Name: GIBSON PROPERTIES L L C Address: 401 ANDOVER PARK E , TUKWILA WA 98188 Phone: Contractor: Name: GATEWAY CONSTRUCTION SRVCS INC. Address: 11414 NE 60TH ST , KIRKLAND, WA 98033 Phone: 425 -822 -5178 Contractor License No: GATEWCS992C3 DEVELOPMENT PERMIT Expiration Date: 03/04/2008 Permit Number: D06 -315 Issue Date: 11/09/2006 Permit Expires On: 05/08/2007 DESCRIPTION OF WORK: REMODEL OF THE EXISTING MENS AND WOMENS RESTROOMS IN THE PRODUCTION AREA. Public Works activity includes upgrade to the existing irrigation water meter by adding new REMOTE READOUT REGISTER and RADIO. * *continued on next page ** Steven M. Mullet, Mayor Steve Lancaster, Director Value of Construction: $25,000.00 Fees Collected: $1,062.72 Type of Fire Protection: SPRINKLERS International Building Code Edition: 2003 Type of Construction: Occupancy per IBC: doc: IBC -10/06 D06-315 Printed: 11 -09 -2006 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206- 431 -3670 Fax: 206 -431 -3665 Web site: htto: //www.ci.tukwila.wa.us Permit Number: Issue Date: Permit Expires On: Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: N Hauling: N Start Time: End Time: Land Altering: N Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: N Moving Oversize Load: N Start 'lime: End Time: Sanitary Side Sewer: N Sewer Main Extension: N Private: Public: Storm Drainage: N Street Use: N Profit: N Non - Profit: N Water Main Extension: N Private: Public: Water Meter: N Steven M. Mullet, Mayor Steve Lancaster, Director D06 -315 Permit Center Authorized Signature: lol ,1,4i it 27771/ Date: l / /s/o(o I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance • - . I am authorized to sign and obtain this development permit. Signature: Print Name: doe: IBC -10/06 1 ?? Date: This permit shall become null and void if the,6vork is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. D06-315 Printed: 11 -09 -2006 Parcel No.: 0223400050 Address: Suite No: Tenant: 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 10: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * ** City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431 -3670 Fax: 206431 -3665 Web site: httn: / /www.ci.tukwila.wa.us 401 ANDOVER PK E TUKW FATIGUE TECHNOLOGY INC. PERMIT CONDITIONS * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: D06 -315 ISSUED 08/11/2006 11/09/2006 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431 - 3670). 4: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 8: Partition walls that are tied to the ceiling and all partitions greater than 6 feet in height shall be laterally braced to the building structure. 6: All construction shall be done in conformance with the approved plans and the requirements of the International Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. 7: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 8: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department of Labor and Industries (206/248- 6630). 9: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. 11: The applicant must notify the City Utility Inspector at (206)433 -0179 upon commencement and completion of work at least 24 hours in advance. All inspection requests for utility work must also be made 24 hours in advance. 12: Contractor shall notify Public Works Utility Inspector at (206)433 -0179 of commencement and completion of work at least 24 hours in advance. 13: CONTRACTOR SHALL INSTALL AN ECR -WP REGISTER THAT IS COMPATIBLE TO THE INVENSYS AUTOMATIC READING SYSTEM. doc: Cond -10/06 D06 -315 Printed: 11-09 -2006 City of Tukwila Signatur 1 Print Name: Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. e 4 Date: d( doc: Cond -10/06 D06 -315 Printed: 11 -09 -2006 CITY OF TUKWILA Community Developmer nepartment Public Works Departmek Permit Center 6300 Southcenter Blvd., ,Suite 100 Tukwila,WA. 98188 ' ' ' . - http: /IWww,ci.tukwild.wa.us King Co Assessor's Tax No.0 0' DO50 Site Address:AOLAS I Suite Number: Floor: 1 5,y,., Tenant Name: '\ y • / . New Tenant: n .... Yes cNo Property Owners Name:. r,A r(.Gtfe heat tLCY t NC. . "t; Mailing Address: 0 1 Annalsta.paAge. �,'f'C � , 9Rtes ii n, Zip CONTACT PER$QN`. Name: )f EON 3 Day Telephone: 9 L9 SF.C) Mailing Address: pya.p. 5 Re L4Sitt s1" I r U_r vwsr 9Bo t � —'-.A City State Zip E -Mail Address: J c 4 1 @ QV'CX'e p . CO'V) Fax Number: 666 53 ( /170 GENERAL: CONTRACTOR :INFORMATION (Contractor Information for Mechanical (pg:4) for Plumbing and Gas Piping (pg 5)) Company Name: Mailing Address: City Day Telephone: Fax Number: Contractor Registration Number: Expiration Date: Contact Person: E -Mail Address: ARCHITECT. OF , RECORD — An plans must be wet stamped by Architect of Record Company Name: ^ea PILLC Mailing Address: €32-19.5 H t 14-6 S7 Contact Person:J✓A N B iN n E -Mail Address: J oVIAQ carcres c" p . cern ENGINEER OF RECORD - Alf plans Must be wet stamped by Engineer of Record Company Name: Mailing Address: Contact Person: E -Mail Address: Q:Upplications \Forms-Applications On LineU -3006 - Permit Application doc Revised: 4-2006 • bh Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. **Please Print ** State Zip Bon+esti. WA ✓Poll City State � Zip Day Telephone:9( 9 19' . � 4 O Fax Number: j% 4331 11 L 0 City Day Telephone: Fax Number: State Zip Page 1 of 6 :T INFORMA TIO 206 -431 Valuation of Project (contractor's bid price): $ p cC7o e 0 0 Scope of Work (ple- e provide detailed information): FaI5MoOL Naeracc • Will there be new rack storage? ❑ ..Yes ❑.. No Q:wppacadon9Wotn14AppIicationn an r.ine3 -2006 - Permit APPb4tion.doc Revised: 4-2006 bb Existing Building Valuation: $ OF' "fl`ie'r t5Xer1 N tUiI (If yes, a separate permit and plan submittal will be required) Provide All Building Areas in Square Footage Below Aferlib in Floor 2 Floor 3t°:Floor,' ` Floors ^ thnr Basement Access /So r4cturet ched Garage Detached Garage , Attached Carport Detached Carport Covered. Deck uncovered Deck Existing Interior Remodel Addition tb Existing 6tntcttite' -{ AteA ie of..i Cgostntctiisn •� erice SA Ks Type of Occupancy per PLANNING DIVISION: Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling: 'Provide documentation that shows that the principal owner lives in one of the dwellings as,his or her primary residence. Nugtber of Parking Stalls Provided: Standard: PCompact:. handicap: Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: Sprinklers ❑..Automatic Fire Alarm ❑..None ❑ . Other (specify) Wil there be storage or use of flammable, combustible or hazardous materials in the building? ❑ -Yes ❑ ..No If"yes", attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets. SEPTIC SYSTEM: 0 On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Page 2 of 6 Fixture Type: • Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: ; Qty Bathtub or combination bath/shower - - - - Drinking fountain or water cooler (per head) ' . -: ' • Wash fountain. - Gas piping outlets Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic Floor drain Sinks Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory Water Closet Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors Repair or alteration of water piping and/or water treating equipment Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets/outlets for specific gas Additional medical gas inlets/outlets — six or more PLUMBING :A m:GAS :PIPIN HERMIT INFORMATION 206=43c670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Expiration Date: Contractor Registration Number: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Indicate type of phinibing fixtures and/or gas piping outlets being installed and the quantity below; Q1Applicsfion \Pons- Applieedons On LS\3 -2006 - Permit Application.doc Revised: 4-2006 • bh State Zip Page 5 of 6 Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules, Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. Building and Mechanical Permit The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing code (current edition). I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING O — li?AUTHO ED AGENT: Signature, Print Name: JO b41 9- au — � t � �+-� �Q^ Day Telephone: kY2I 9 19 52 O Mailing Address: �e ie 145 .S1 Irk WPr 98O1,' City State Zip Date Application Accepted: / Q ApplicatioosWmms-Applications On LineU3006 - Permit Application.doc Revised. 9-1006 bh Date: % ( 74JG 9cb , Date Application Expires: Staff Initial c nr— Page 6 of 6 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: //wttw.ci.tukwila.wa.us RECEIPT Parcel No.: 0223400050 Permit Number: D06 -315 Address: 401 ANDOVER PK E TUKW Status: APPROVED Suite No: Applied Date: 08/11/2006 Applicant: FATIGUE TECHNOLOGY INC. Issue Date: Receipt No.: R06 -01792 Initials: LAW Payment Date: 11/09/2006 09:50 AM User ID: 1632 Balance: $0.00 Payee: FATIGUE TECHNOLOGY INC TRANSACTION LIST: Type Method Description Amount Payment Check 73754 747.48 ACCOUNT ITEM LIST: Description BUILDING - NONRES PW BASE APPLICATION FEE PW PERMIT /INSPECTION FEE PW PLAN REVIEW STATE BUILDING SURCHARGE Account Code Current Pmts 000/322.100 000/322.100 000/342.400 000/345.830 000/386.904 Payment Amount: $747.48 484.98 250.00 4.00 4.00 4.50 Total: $747.48 doc: Receipt -06 1609 11/09 9716 TOTAL 749: 11 -09 -2006 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0223400050 Permit Number: D06 -315 Address' 401 ANDOVER PK E TUKW Status: PENDING Suite No: Applied Date: 08/11/2006 Applicant: FATIGUE TECHNOLOGY INC. Issue Date: Receipt No.: R06 -01247 Payment Amount: 315.24 Initials: JEM Payment Date: 08/11/2006 02:46 PM User ID: 1165 Balance: $489.48 Payee: FATIGUE TECHNOLOGY, INC. TRANSACTION UST: Type Method Description Amount Payment Check 72926 315.24 ACCOUNT ITEM LIST: Description Current Pmts PLAN CHECK - NONRES RECEIPT Account Code 000/345.830 315.24 Total: 315.24 8504 08/11 9710 TOTAL 315.24 doe: Receipt - Printed: 08-11 -2006 Project: �q�,t Type of Inspection: /7619 �)r /J Addre�a: ( 1 Date Called: t A Special Instruc ons: Date Wanted: . , 9—O� / a.m. P. .4 Requester: Phone No: 3l INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit (206)431 -3670 COMMENTS: Approved per applicable codes. El Corrections required prior to approval. Ft $58.00 REINSPECTION 'EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule i Receipt No.: Date: Project- xarruv Tom- Type of Inspection: IN�r Add go, I'‘ Date Called: i J / n 3 Special Instructions: Date Wanted: / a.m. /Pt 0 i p.m. Requester 4tk Phone No: • INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERM! CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 IA Approved per applicable codes. Corrections required prior to approval. COMMENTS: 04 07 ju-azid . Cdi sC.A. t,. (, r,F inta i i ,-/ �T I z`/u7 -rte thtin Inspector: ‘A.) (Date: ! /L40/7 0 $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: : r ! r0 Type of Inspection:: 1117ll e 111 J Pc ::::ct Date Called: a Instructions: / Date Wanted ) Sn _.,a.mm..r ! 7" Requester. Phone No: Approved per applicable codes. COMMENTS: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 0 Corrections required prior to approval. 0 $58. • EINSPECTION F REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: (Date: Project: Type of Inspection: Address: Date Called: Special Instructions: Date Wanted: ,r 2��CA ta.m..,` G. equ ster: Phone No: INSPECTION RECORD Retain a copy with permit INSPECYION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. Corrections required prior to approval. 12 COMMENTS: /' - c' ri $58.00 REINSPECTION FEET EQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: Project: IP -7 - 7 6✓u_ 1mcd rloLU6ti Type oofInspecsipn: `r2E / Ni4 /..SPQ/N.e NR-L._ Address: yo / fi PE.- Suite #: Contact Person: l,--/i) a t Pre -Fire: Special Instructions: Phone No.: 2o4 zw6- Zolo Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: Inspector: INSPECTION NUMBER — Approved per applicable codes. Word /Inspection Record Form.Doc INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA FIRE DEPARTMENT Date: //Z , /07 VO4 - 3ic PERMIT NUMBERS 444 Andover Park East, Tukwila, Wa. 98188 206 - 575 -4407 - Corrections required prior to approval. COMMENTS: Set»Ik 7fl oiz H rs.. �✓/ $80.00 REINSPECTION FEE REQUIRED. You will receive an invoice from l�'fhyCity of Tukwila Finance Department. Call to schedule a reinspection. 1/13/06 T.F.D. Form F.P. 113 Project: f 7 ,.,'' Tec. Type of Inspection: 5p,. ,, hUr., /14.��.. Address: Suite #: ` / ` ' / 4 p a Contact Person: /Z »c� fl'r , s i Special Instructions: Occupancy Type: Phone No.: ZoG• 78s 7 7e" Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor: Pre -Fire: Permits: Occupancy Type: INSPECTION NUMBER Approved per applicable codes. Word /Inspection Record Form.Doc INSPECTION RECORD •Retain a copy with permit CITY OF TUKWILA FIRE DEPARTMENT PERMIT NUMBERS 444 Andover Park East, Tukwila, Wa. 98188 206 -575 -4407 Corrections required prior to approval. COMMENTS: / Inspector: 'L✓ 5%S I Date: 1e4 /o. $80.00 REINSPECTION FEE REQUIRED. You will receive an invoice from ' Ci ty of Tukwila Finance Department. Call to schedule a reinspection. Hrs.: 1/13/06 T.F.D. Form F.P. 113 September 6, 2006 John Bund ARG PLLC 8225 NE 145 St Bothell, WA 98011 City of Tukwila Department of Community Development Steve Lancaster, Director RE: CORRECTION LETTER #1 Development Permit Application Number D06 -315 Fatigue Technology — 401 Andover Pk E Dear Mr. Bund: This letter is to inform you of corrections that must be addressed before your development permits) can be approved.: All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the Public Works Department. At this time the Building, Fire, and Planning Departments: have no comments. Public Works Department: Joanna Spencer, at 206 431 - 2440, if you have questions regarding the attached memo. Please address the attached comments in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that four (4) complete sets of revised plans, specifications and/or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a 'Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. I have also enclosed a Non - Residential Sewer Use Certification that must be completed prior to issuance of the permit. Correctlons/revlsions must be made in person and will not be accepted through the mall or by a messenger service. If you have any questions, please contact me at (206) 433 -7165. Sincere Marshall� echnician encl File No. D06 -315 P:VennifetConection Leiters S. Correction Ltr #2.DOC Steven M. Mullet, Mayor 6300 Southcenter Boulevard, Suite 11100 • Tukwila, Washington 98188 • Phone: 206 - 431.3670 • Fax: 206- 431 -3665 PUBLIC WORKS DEPARTMENT COMMENTS www.ci.tukwila.wa.us Development Guidelines and Design and Construction Standards DATE: September 5, 2006 PROJECT: Fatigue Technology REVIEW #: 2 PERMIT NO: D06 -315 PLAN REVIEWER: Contact Joanna Spencer at (206) 431 -2440 if you have any questions regarding the following comments. Public Works has received copies of passing backflow test reports for existing fire DCDVA and irrigation DCVA. The following items still remain outstanding: 1) Due to the change in the amount of plumbing fixture units, please submit KC Metro Non - Residential Sewer Use Certification executed by the property owner or his rep. Please list only new fixtures and not the ones that were replaced in kind. Form is attached. 2) Landscape Irrigation Please submit plan for upgrade of existing irrigation water meter by adding an ECR- WP register, compatible to the Invensys automatic reading system. (P:/Joanna/Comments 2 D06 -315 PW) pATHIOT E PROTECTION, INC. Fhe SprlMders Save West Date: $ Recipient's Fax No: 208 -431 -3665 To: City of Tukwila Attn: Joanna Spencer From: Tracey Donaldson Reference: Fatigue Tech backflow reports Enclosed please fin .ackfl ow reports as requested. O 0 b 63 l S • FAX COVER SHEET RECEIV D AUG 3 1 2006 TUKWILA PUBLIC WORKS 2707 70TH Avonue fleet Thcome, WA 99424 TEL: (253) 9262290 FM: (263) 922.9190 RECEIVED CITY OFTUKWILP If you receive less than e(s) SEP 0.1 2006 Including cover sheet, please contact PERMITCENTEFR us immediately at (253) 926 -2290. Yes No _ CORRECTION 006 31 _,_ _. __.... ..... T0'd WV SS =bO 900Z- TO -d3S 20 d NAME Fati¢ug1gchnnloEV SERVICE ADDRESS 491 Ando s Park E INITIAL TEST RESULTS PSI DROP ACROSS 01 CHECK VALVE RELIEF VALVE OPENED SI CHECK VALVE CLOSED TIGHT? ' 81 CHECK VALVE LEAKED? BA 02 CHECK VALVE CLOSED TIGHT? City of Tukwila — Public Works Maintenance Department 600 Minkler Blvd, Tukwila, WA 98188 Backflow Assembly Test Report Form CITY Tukwila STATE wA— ..,._. ZIP COOE ASSEMBLY LOCATION NE corner of R[gg, 1» f&Se line VAult by (WYMAN CROSS CONNECTION CONTROL FOR'! s1 n1 - — • ......_..._ _...._.....__..,_.... SIZE l 0,QQ,: -, MAKE,Wij1S — — MODEL ,JQ9 TYPE „pCDA EN .1.34.458 . LINE PRESSURE AT TIME OP TEST? ..l t(' PSI NEW ". ❑ EXISTING? © REPLACEMENT:' ❑ 02 CHECK VALVE LEAKED? APPROVED AIR GAP PROVIDED? RPBA PASSED TEST? Yea ❑ No 1 01 CHECK VALVE CLOSED TIGHT? Q PSID UCVA #1 CHECK VALVE LEAKED? ❑ 02 CHECK VALVE CLOSED TIGHT? • i 02 CHECK VALVE LEAKED? PSID K ID DCVA PASSED TEST? Yea ❑ No AIR INLET OPENED AT AIR INLET FAILED TO OPEN? PVBA CHECK VALVE HELD TIGHT AT CHECK VALVE LEAKED? PVBA PASSED TEST? RETESTED BY d e e r: ACCOUNT 08 -0730 METER „29 TES'CS AFTER REPAIR OR CLEANING PSID PSI DROP ACROSS Ml CHECK VALVE ?SID PSID RELIEF VALVE OPENED PSID 02 CHECK VALVE LEAKED? ❑ 01 CHECK VALVE CLOSED TIGHT? ❑ 01 CHECK VALVE LEAKED? ❑ M2 CHECK VALVE CLOSED TIGHT? ❑ 02 CHECK VALVE LEAKED? ❑ APPROVED AIR GAP PROVIDED? ❑ RPBA PASSED TEST? Yea ❑ Nu 01 CHECK VALVE CLOSED TIGHT? _II esw 01 CHECK VALVE LEAKED? 2CHECK VALVE CLOSED TICHT? '. PSID ❑ ' DCVA PASSED TEST? Yea El No ❑ PSID AIR INLET OPENED AT PSID ❑ AIR INLET FAILED TO OPEN? ❑ PSID CHECK VALVE HELD TIGHT AT - : - PSID j ❑ CHECK VALVE LEAKED? Yea ❑ No ❑ I PVBA PASSED TEST? Yea ❑ No ❑ APPROVED ASSEMBLY? Er PROPER INSTALLATION? . 2 INSPECTED BY CCS? REMARKS JY9. I, (*ea. ✓Awe. planta Ikb'.0 TEST COMPANY r` T GE re. 9rotl ilPr. PHONE 283 "% d1 22 9Q.__. TEST KIT MAKE W (l(IAS MODEL l 41 j Q SN e bf) $: s CALIBRATION DATE °511) (p„_____ I certify that 1 used WAG 24i -290 -490 approved Test Methods and Differential Pressure Teat Equipment TESTER'S NAME (PRINTED) is t{jt CERTIFICATION II '(3 41S'A SIGNATURE 111/1N�ij� A DATE TESTED sill p� REPAIRED BY ,�d-r/!.�_ REPAIR DATE 4/ -O 7, n.. - Wtl 9G:170 9002 —TO —d3S 30 - d NAME Fatigi TechnoIQ¢v SERVICE ADDRESS 4Qj4DdgVer PIITUSSI METER # 1290259 CITY Tukwila STATE WA ZIP CODE mis .. ,.,,,_ ASSEMBLY LOCATION ner of 9S9Ra14V_L4.11tiI1 ai2U/ia2 r. j Cor in rest box CROSS- CONNECTION CONTROL FOR? Iniostine System S12E 1.50" MAKE Febco MODEL 850 LINE PRESSURE AT TIME OF 'TEST? INITIAL TEST RESULTS PSI DROP ACROSS N1 CHECK VALVE RELIEF VALVE OPENED 01 CHECK VALVE CLOSED TIGHT? NI CHECK VALVE LEAKED? RPBA #2 CHECK VALVE CLOSED TIGHT? n OTI, t�YI!n 1,,. City of Tukwila — Public Works Maintenance Departlnent 600 Minkler Blvd, Tukwila, WA 98188 Backflow Assembly Test Report Form ACCOUNT N Q$ -0730 PSID PSID 0 TYPE DCVA DCVAI NI CHECK VALVE LEAKED? #1 CILECK VALVE LEAKED? 02 CHECK VALVE LEAKED? ❑ 02 CHECK VALVE LEAKED? sN A05111 PSI NEW? ❑ EXISTING? ceI(PLAC.EMF.NT' Il TESTS AFTER REPAIR OR CLEANING PSI DROP ACROSS NI CHECK VALVE RELIEF VALVE OPENED NI CHECK VALVE CLOSED TIGHT? NI CHECK VALVE LEAKED? PSID PSID ❑ N2 CHECK VALVE CLOSED TIGHT? 02 CHECK VALVE LEAKED? ❑ ! N2 CHECK VALVE LEAKED? APPROVED AIR GAP PROVIDED? ❑ APPROVED MR GAP PROVIDED? RPBAPASSEDTEST? Yes ❑ No ❑ RPM PASSED TEST: Yes ❑ No ❑ 01 CHECK VALVE CLOSED TIGHT? D.OPSID 01 CHECK VALVE CLOSED TIGHT? 3 N2 CHECK VALVE CLOSED TIGHT? - 7 , D PSID 02 CHECK VALVE CLOSED TIGHT? 2. Co PSID DCVA PASSED TEST? Yes ❑ No DCVA PASSED TEST? Yes C No a P51D AIR INLET OPENED AT ❑ AIR INLET FAILED TO OPEN? AIR INLET OPENED AT AIR INLET FAILED TO OPEN? PVBA CHECK VALVE HELD TIGHT AT PSID CHECK VALVE HELD TIGHT AT CHECK VALVE LEAKED? ❑ CHECK VALVE LEAKED? PVBA PASSED TEST? Yes ❑ No ❑ PVBA PASSED TEST? P811) 0 PSID No ❑ Yes 0 APPROVED ASSLMBLY7 Q PROPER INSTALLATION? Er INSPECTED BY CCS7 REMARKS 'v r.kgt 1/o,lve 04 :4 n,vr bolo TEST COMPANY P4'rtDt F)r(. ?rpt -toh PHONE 25A -426 a2A9 TEST KIT MAKE WIt MODEL 4?yy SN 3er /f39% CALIBRATION DATE 84)(0 / certify that I used WAC 246 -290 -490 approved Test Methods and Differential Pressure Test Equipment TESTER'S NAME (PRINTED) N,( - CERTIFICATION N . 7 2, SIGNATURE �� e. �L /i � t � . N •r DATE TESTED REPAIRED BY �1� REPAIR DATE ___ 1e C6 ,. .nM .. D. ?L //VH' n•Tr•rcenn • 4`7 M^IJA WH GS: 17 0 900Z— T0—d3S SEP. -01 -2006 10:13 L]T1D:7 PTIRE PROTECTION, INC. Enclosed please find HANFORD, WA OFFICE TEL (509) 373.8895 FAX (509) 373.8919 F2 Sprinklers Save Lives! FAX COVER SHEET Date Recipient's Fax No: 206-431 -3655 To: City of Tukwila Attn: Joanna Spencer From: Tracey Donaldson Reference: Fatigue Tech backflow reports C yr r -..v. bb3 I Z ;rt s-ivrv. . By ci% F= If you receive less than - ! e(s) including cover sheet/please contact us immediately at (253) 926 -2290. Yes No PATRIOT FIRE. FIFE cktlow reports as requested. OPPORTUNI77ES ALWAYS LOOK LARGER GOING AWAY THANTHEYDO COMING" VANCOUVER, WA OFFICE TEL (380) 699.4403 PORTLAND (503) 222.6001 FAX (360) 699.4485 PATRIPPO99CF 253 922 6150 P.01 SPOKANE, WA OFFICE TEL (509) 926.3428 FAX (509) 926.3708 2707 70TH Avenue East TTCcma.WA 92424 • TEL; (233) 926.2e90 FAX: (253) 9225150 SEP - 01 - 2006 10:14 PATRIOT FIRE, FIFE NAME •atiwe.I haO1oa _. SERVICE ADDRESS 401 Anclovezia E. CITY Tukwila City of Tukwila — Public Works Maintenance Department 600 Min Blvd, Tukwila, WA 98188 Backflow Assembly Test Report Fonn ASSEMBLY LOCATION NF. cerar QJJ70p in vault Jypas$ pgfu, nain CROSS - CONNECTION CONTROL FOR? Fire Sy,em &Hass SIZE 02" —, MAKE. Watts MODEL 007 TYPE DCVA _ SN 2382 _ LINE PRESSURE AT TIME OF TEST? I 1'c PSI NEW? ❑ EXISTING? g rI INITL4L TEST RESULTS - TESTS AI 11,R REPAIR OR CLEANING PSI DROP ACROSS #t CHECK VALVE PSID ( PSI DROP ACROSS #1 CHECK VALVE RELIEF VALVE OPENED PSID #1 CHECK VALVE CLOSED TIGHT? ❑ 41 CHECK VALYF. LEAKED? ❑ RPBA #2 CHECK VALVE CLOSED TIGHT ❑ #2 CHECK VALVE LEAKED? ❑ APPROVED AIR GAP PROVIDED ?? ❑ RPSA PASSED TEST? Yes Q. No ❑ #t CHECK VALVE CLOSED TIGHT? I .� DCVAI #1 CHECK VALVE LEAKED? #2 CHECK VALVE CLOSED TIGHT? #2 CHECK VALVE LEAKED? DCVA PASSED TEST? Yes ACCOUNT METER # STATE WA 253 922 6150 P.02 Q8-0730 12902.59 AIR ISLET OPENED AT PSID 1 AIR INLET OPENED AT 1 AIR INLET FAILED TO OPEN? ❑ I AIR INLET FAILED TO OPEN? PVBA 7 CHECK VALVE HELD TIGHT AT — ?SID j CHECK VALVE HELD TIGHT AT I CHECK VALVE LEAKED? ❑ 1 CHECK VALVE LEAKED? PVBA PASSED TEST? Yes 0 No 0 1 PVBA PASSED TEST? ZIP CODE 9$181 , RELIEF VALVE OPENED xE CHECK VALVE CLOSED TIGHT? 01 CHECK VALVE LEAKED? 1 x2 CHECK VALVE CLOSED TIGHT? #2 CHECK VALVE LEAKED? I APPROVED AIR GAP PROVIDED? 1 RPBA PASSED TEST? Yes PSID i #1 CHECK VALVE CLOSED TIGHT! ❑ I in CHECK VALVE LEAKED? L".SID 02 CHECK VALVE CLOSED TIGHT? ❑ IQ CHECK VALVE LEAKED? No ❑ I DCVA PASSED TEST? PSID Y 0 Yes ❑ No ❑ ?SID El PSID 0 Yes ❑ No PS10 PSID 0 0 0 0 Nu ❑ ❑ ' APPROVED ASSEMBLY? fr PROPER INSTALLATION'? E - INSPECTED BY CCS? ❑" REMARKS ____._.�_ ....�.. _...._.. _. — .. _. _._._..._... �_r.._ ...._ __ ___ TEST COMPANY t art, ?rotc.c+Ipn PHONE 2S3 -Q2 -a zqp TEST KIT MAKE %A Iti45 MODEL Fyrlp SN .357$f CALIBRATION DATE � 1 cert fy that 1 used WAC 246-290-490 approved Test Methods and Differential Pressure Test Equipment 6- TESTER'S NAME (PRINTED1 �Y tr !fa Il„ kflec,Ijc,,,N CERTIFICATION* SIGNATURE — ___'YY1 ' .. takta DATE TESTED 411 REPAIRED BY + REPAIR DATE RETESTED EY CERT# DATE TESTED TOTRL P.22 August 24, 2006 John Bund ARG PLLC 8225 NE 145 St Bothell, WA 98011 RE: CORRECTION LETTER #1 Development Permit Application Number D06 -315 Fatigue Technology — 401 Andover Pk E Dear Mr. Bund: This letter is to inform you of corrections that must be addressed before your development permit(s) can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the Public Works Department. At this time the Building, Fire, and Planning Departments have no comments. Public Works Department: Joanna Spencer, at 206 431 -2440, if you have questions regarding the attached memo. Please address the attached comments in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that four (4) complete sets of revised plans, specifications and /or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a `Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. I have also enclosed a Non - Residential Sewer Use Certification that must be completed prior to issuance of the permit. Corrections /revisions must be made in person and will not be accepted throuzh the mail or by a messeneer service. If you have any questions, please contact me at (206) 433 -7165. Sincerely enc Fil No. D06 -315 City of Tukwila ll a Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director ars alt ' hnician P:Uennitee.Co'rection Letters\2006 D06 -315 Correction Ltr p1 .DOC jem 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431.3670 • Fax: 206- 431 -3665 (P:Laurie Admin/Ioanna/Comments 1 D06 -315 PW) PUBLIC WORKS DEPARTMENT COMMENTS www.ci.tukwila.wa.us Development Guidelines and Design and Construction Standards DATE: August 16, 2006 PROJECT: Fatigue Technology REVIEW #: 1 PERMIT NO: D06 -315 PLAN REVIEWER: Contact Joanna Spencer at (206) 431 -2440 if you have any questions regarding the following continents. 1) Due to the change in the amount of plumbing fixture units, please submit KC Metro Non - Residential Sewer Use Certification executed by the property owner or his rep. Please list only new fixtures and not the ones that were replaced in kind. Form is attached. 2) In accordance with Washington State Department of Health guidelines for Group A Public Water Systems, Public Works has implemented a cross - connection control program to protect the public water system from contamination via cross - connection. The City has determined that Fatigue Technology building has deficiencies on fire prevention and landscape irrigation lines. a) Fire Prevention Our records indicate that the required annual backflow test has failed. Please have the existing Detector Double Check Valve Assembly serviced and retested by a certified tester. Submit a passing test report to Public Works. b) Landscape Irrigation There is an existing 1.5" Double Check Valve Assemblies (DCVAs) on the irrigation system, however, the annual backflow test report has failed. Please have the backflow serviced, retested by a certified tester and submit passing test report to Public Works. An ECR -WP register, compatible to the Invensys automatic reading system shall be added to the existing irrigation deduct water meter. I have enclosed Development Bulletin C5 which spells out design and installation requirements for cross connection control. Please note that a separate letter was mailed to the building owner. The Public Works Director will withhold issuance of this Tenant Improvement permit until the Permit Center receives plans for item 1 a and backflow test reports for item lb, or a bond for 150% of the design and installation cost of subject devices, together with a letter stating the installation by a certain date. Backflow test results shall be submitted to Public Works prior to final permit D06 -315 sign-off. ACTIVITY NUMBER: D06 -315 DATE: 10 -27 -06 PROJECT NAME: FATIGUE TECHNOLOGY SITE ADDRESS: 401 ANDOVER PK E Original Plan Submittal X Response to Correction Letter # 2b Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: Building Division C Complete Comments: orks J Notation: Documents/routing slip.doc 2 -25-02 � PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP APPROVALS OR CO RRECTIONS: REVIEWER'S INITIALS: Fire Prevention Structural Incomplete TUES/THURS ROUT G: Please Route Structural Review Required REVIEWER'S INITIALS: DATE: DATE: Planning Division Not Applicable No further Review Required n ❑ Permit Coordinator ❑ DETERMINATI9N OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 10-31-06 Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: DUE DATE: 11-28-06 Approved with Conditions i Not Approved (attach comments) ❑ Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: DEPARTMENTS: Building Division Public Work(, Complete Comments: Please Route TUES/THURS RO9TING: REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Approved ❑ Notation: REVIEWER'S INITIALS: Documents/routing slip.doc 2-28-02 ^ PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: 1306 -315 DATE: 10 -24 -06 PROJECT NAME: FATIGUE TECHNOLOGY SITE ADDRESS: 401 ANDOVER PK E Original Plan Submittal X Response to Correction Letter # 2 Response to Incomplete Letter # Revision # After Permit Issued Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete ❑ Structural Review Required Approved with Conditions DATE: DATE: Planning Division Permit Coordinator No further Review Required DUE DATE: 10 -26 -06 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: DUE DATE: 11 -23-06 Not Approved (attach comments) n Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: ACTIVITY NUMBER: D06 -315 DATE: 09 -01 -06 PROJECT NAME: FATIGUE TECHNOLOGY SITE ADDRESS: 401 ANDOVER PK E Original Plan Submittal Response to Incomplete Letter # X Response to Correction Letter # 1 Revision # After Permit Issued DEPARTMENTS: Building Division 0 P_ubli>:W 1 i* Complete Comments: APPROVALS OR CORRECTIONS: Approved ❑ Notation: REVIEWER'S INITIALS: Documents/rowing slip.doc 2 -28 -02 PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP Fire Prevention Structural DETERMINATIQN OF COMPLETENESS: (Tues., Thurs.) Incomplete TUES/THURS ROU NG: Please Route Structural Review Required REVIEWER'S INITIALS: Planning Division Permit Coordinator DUE DATE: 09 -05 -06 Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Not Applicable ❑ No further Review Required DATE: DUE DATE: 10 -03-06 Approved with Conditions Not Approved (attach comments) 2( DATE: Permit Center Use Only p., I CORRECTION LETTER MAILED: 7 (dtt&i Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW Staff Initials: ACTIVITY NUMBER: D06 -315 PROJECT NAME: FATIGUE TECHNOLOGY SITE ADDRESS: 401 ANDOVER PK E X Original Plan Submittal Response to Correction Letter # DATE: 08 -11 -06 Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: Bu D+�lsion Public Works Complete Comments: TUES/THURS ROUTING: Please Route REVIEWER'S INITIALS: Approved ❑ Notation: Documents/routing slip.doc 2 -28-02 PLAN REVIEW /ROUTING SLIP REVIEWER'S INITIALS: - PERMIT COORD COPY Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) APPROVALS OR CORRECTIONS: Incomplete ❑ Structural Review Required Approved with Conditions ❑ 6!! kW g - / C9° Fire Prevention NI P /S � Planning Division Permit Coordinator ❑ DUE DATE: 08-15 -06 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: LETTER OF COMPLETENESS MAILED: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: No further Review Required DATE: DUE DATE: 09-12 -06 Not Ap proved (attach comments) DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: 0'94 d Bldg ❑ Fire ❑ Ping ❑ PW Staff Initials: l/� City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite # 100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: //www.ci.tukwilawa.tu Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mall, fax, eta Date: Jo f2 7/cc Plan Check/Permit Number: 170(P l/ — 3 ( ❑ Response to Incomplete Letter # _ 7" Response to Correction Letter # 2 b ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: 4.M ue TWIWN mss. >€ y Project Address: 401 Ad11Oc&50 - iwte_ e Contact Person: JeHnI eon') Phone Number: X 96 q_ Su of Revision: ,ow/ ,iT /21446/ vv/, rb# w4r8z moors Loci4z� ,4 h1 . nrRo i3 y pvriv c Wi <MD nits SheetNumber(s): plat 0 "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: V Entered in Permits Plus on 1012 -t1tAP \applications\ forms- applications on Ime\revision submittal • Created: 8 -13 -2004 Revised: Steven M. Mullet, Mayor Steve Lancaster, Director RECEIVED CITY OF TU OCT 2 7 2006 PERMIT CENTER City of Tukwila Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: /e /ST/ao ❑ Response to Incomplete Letter # ® Response to Correction Letter # 2 ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: Fatigue Technology Project Address: 401 Andover Pk E Contact Person: biN omo Phone Number: q65€546 Summary of Revision: AS Pep U5TElp 171C atW&I2. () (PIT) FicAr s'0 1 rendtleYSI parole ofi1 c/ /5 . /Jo IN Gt. Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by f Entered in Permits Plus on to[2t �Qv \applications\forms- applications on line\revision submittal Created: 8 -13 -2004 Revised: Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431 -3670 Fax: 206-431-3665 Web site: http: / /www.ci.tukwila.wa.us Plan Check/Permit Number: D06-315 Steven M. Mullet, Mayor Steve Lancaster, Director CITY oft OC T 2 4 2006 Project Name: \y5 % City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: //www.citukwila.wa.us Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: (O I' cx Plan Check/Permit Number: , D 06. 315 ❑ Response to Incomplete Letter # _ • Response to Correction Letter # ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner FATE& T6CK tib LOG t -( Project Address: LIOI APE Contact Person: JOH 14 t3 U RNS Phone Number: Summary of Revision: ? Go (AA- vt.a. 4 I Oki r p l t ci Os,ed pies +esd- ref Orli 'To f 6a% 04 sr / ,, n S Steven M. Mullet, Mayor Steve Lancaster, Director RECEIVED SEP Q • P006 PERMIT CENTER Sheet Number(s): "Cloud" or highlight all areas of revision including date of f revision Received at the City of Tukwila Permit Center by: /4ketA U9)) -O°1 7) Entered in Permits Plus on ` (tAs !II tappltcattons\fonns- applications on line revision submittal Created: 8 -13 -2004 Revised: Joanna Spencer - Re: Fatigue Technolc ' 401 APE_ D063E17 From: Bryan Still To: Joanna Spencer Date: 8/17/06 3:32PM 51 Subject: Re: Fatigue Technology @ 401 APE 006.287 Hi Joanna, We show a current report for irrigation. I don't see anything for the 10" fire, only the 3/4" bypass. RPPA o.k. Need upgrade to deduct meter with radio. Thanks Bryan. Joanna Spencer - Re: Fatigue Technology j 401 APE From: Joanna Spencer To: Bryan Still Date: 8/16/06 4:42PM 31S" Subject: Re: Fatigue Technology © 401 APE D06 -28.7 Are the backflow test reports still pending ? Thanks, Joanna »> Bryan Still 08/01/06 12:56PM »> Hi Joanna, They have two devices that failed test. 10" DCDA for fire and 1 Y" DCVA for irrigation. They need AMR on their deduct meter. Register only required. RPPA on domestic o.k. Thanks Bryan. CC: Han Kirkland; Todd Reedy as 006-2/07- ..__. Page l PERMANENT FILE COPY Page 1 Kind of Fixture Fixtur Units No. of Fixtures Total Fixture Units Public Private Public Private Bathtub and Shower 4 4 Shower, per head 2 2 Dishwasher 2 2 Drinking fountain (each head) 1 .5 Hose bibb (interior) 2.5 2.5 Cbtheswasher or laundry tub 4 2 Sink, bar or lavatory 2 1 1 I Sink, Clinic flushing 8 8 Sink, kitchen 3 2 Sink, other (service) 3 1.5 Sink, wash fountain, circle spray 4 3 Urinal, flush valve, 1 GPF 5 2 ( I (/2 ) Urinal, flush valve, >1 GPF 6 2 Water closet, tank or valve, 1.6 GPF 6 3 '14 66� Water closet, tank or valve, >1.6 GPF 8 4 i • Non - Residential Sewer Use Certification (To be completed for all new sewer connections, reconnections or change of use of existing connections. This form does not apply to repairs or replacements of existing sewer connections within five years of disconnect.) new sewer customers. The charge is collected semi- annually. All future billings can be prepaid at a discounted amount. Questions regarding the capacity charge or this form should be referred to King County's Wastewater Treatment Division at (206) 684 -1740. Pursuant to King County Code 28.84, all sewer customers who establish a new service which uses metropolitan sewage facilities shall be subject to a capacity charge. The amount of the charge is established annually by the King County Council at a rate per month per residential customer or residential customer equivalent for a period of fifteen years. The purpose of the charge is to recover costs of providing sewage treatment capacity for Ow Name type) ff S4 LL r Oner's Name ✓✓ v A�.1 1 i Middle I Subdivision Name t ." Lot # Subdiv. # Block L # Building Name (if applicable) A {. 6cT�.iT1'iotc Property Street Address "C0 1 ( y e9sf City, State ZIP JI4 t'..E;v . 9SIQt0 Owner's Phone Number ( ) 1.44 Owners Mailing Address (if different from above) A. Fixture Units Fixture Units x Number of Fixtures = Total Fixture Units 1058 (Rev. 1/031 Total Fixture Units Residential Customer Equivalent (RCE) 20 fixture units equal 1.0 RCE Total No. of Fixture Units _ © I RCE 20 / White — Kina County King County Department of N 1 Resources and Parks Property Tax ID # 022 34000 5 Party to be Billed (if different from owner) ORV � ��� OCT 2 42006 City or Sewer District � 1 }�* 1 AN tL4c Party's Mailing Address: Date of Connection Side Sewer Permit # or Property Contact Phone # ( Demolition of pre - existing building? 0 Yeslo Type of building demolished Sewer disconnect date B. Other Wastewater Flow (in addition to Fixture Units identified in Section A) Type of Facility/Process Estimated Wastewater Discharge: Gallons /days Residential Customer Equivalents (RCE): 187 gallons per day equals 1.0 RCE Total Discharge (gal/day) _ 187 C. Total Residential Customer Equivalents (add A & B) A B RCE I certify that the information Wen is co . I understand that the capacity charge levied will be based on this information and any deviation will require resubmission of corrected data for determination of a revised capacity charge. Si ture of Owner/ epresen a lye Print Name of Owner/ CORRECTION LTR# RCE Date 2-e cot 0 Yellow — Local Sewer Aaencv Pink — Sewer Customer •oems 6% License GATEWCS992C3 Licensee Name GATEWAY CONSTRUCTION SRVCS INC Licensee Type CONSTRUCTION CONTRACTOR UBI 602086011 Verify Workers Comp Premium Status Ind. Ins. Account Id 754100 Business Type CORPORATION Address 1 701 DEXTER AVE N SUITE 420 Address 2 City SEATTLE County KING State WA Zip 98109 Phone 2066219111 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 2/26/2001 Expiration Date 3/4/2008 Suspend Date Separation Date Parent Company I Previous License MIELSC'02708 j Next License Associated License Look Up a Contractor, Electrician or Plumber License Detail dhi us Search Home iSafety FClaims @ insurance Workplace Rights Find a Law or Rule Get a Form or Publication Look Up a Contractor, Electrician or Plumber Printerfriendly Version General/Specialty Contractor A business registered as a construction contractor with L &I to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment iof account and carry general liability insurance. • License Information Topic Index I Contact Info Page 1 of 3 Trades @ Licensing https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= GATEWCS992C3 11/09/2006 x x x x x